NPI | 1902954407 |
---|---|
Former Name | LISA H. HOPPER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11016071) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN - 1624) |
363LF0000X Nurse Practitioner, Family (Licence: WA AP30007844) | |
Enumeration Date | 2007-01-08 |
Last Update Date | 2022-06-20 |